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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2008 -00488 ° COMMUNITY DEVELOPMENT DATE ISSUED: 8/25/2008 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 103DA -04103 SITE ADDRESS: 13335 SW 107TH AVE ZONING: R -3.5 SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: KRAFT Project Description: Replacing panel and (3) branch circuits. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 WISERVICE OR FEEDER: 3 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: CARY RAY KRAFT AND SIMPSON ELECTRICAL CONST. JANET INEZ 2145 NE MCDONALD LN # C 13335 SW 107TH MCMINNVILLE, OR 97128 TIGARD, OR 97223 Phone: 503 - 620 - 7388 Contact #: PRI 1- 503 - 472 -2530 FAX 1- 503 - 435 -0157 FEES Description Date Amount Reg #: ELE 36 -82C [ELPRMT] ELC Permit 8/25/2008 $100.25 LIC 133886 [TAX] 12% State Surchar 8/25/2008 $12.03 SUP 5093S Total $112.28 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: / � _ � � Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. uNt l }�4' . tut t w:oreg.r 4z0 4, xt or. 4s, r , . 0,,,, tN° 4'MeAn+ r a e. ! Electrical Permit Application � ;iZ ;Lthip • . ( . '! ` Y0 .. tti !a 1 .)iF �, 1 ,�w. `i'i4gI y �. { l l , ; C of Tigard OISINIkl R ecerv cd n 'SOPS: v QVnti n Date/Bv: A 5 Or Perm itNo.: ^ J'"'P ? �, 13125 SW Flail Blvd., Tigard, OR 97223 3O 1 ` �P l �Ld, � �r l d t: Phone: 501639.4171 Fax: 503.598.1960 Phut By: Review Other Permit: • T l G' 1 �'1D Inspection Line: 503.639.4175 p g Z it Date Ready,.y. luris ld See Page 2 for - a + + Internet: www,tigard or.gov D G Notified'Method: Supplemental Information TYPE OF WORK ;Ai , i k . � t /►� PLAN REVIEW New construction ddition/alterati n •., yr r Plea check all that apply (submit 2 sets of plans wlitems ched ed below): ❑ Demolition Other: CI Service or fceder 400 amps or more 0 Building over three stories. where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at1511 volts or ❑ Floating buildings. • }- and 2- family dwelling E3 Commercial/industrial ❑ Aeeesso less to ground, or exceeds 14,000 ❑ Commercial - use a . ry building g amps for all other installations. buildings. agricultural 0 Multi family ❑ Master builder ❑ Other: ❑ Free pump. ❑Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", G ", 1 -2 ", "l -3 ", Job no.: Job site address: 11 ^ 100HP or more. occupancy. r — ; 1 �� v �j �� [ J ❑ Six or more residential units. ❑ Rctzcational vehicle parks. City /State/7I l y CI Health - care fa cilities. ❑ Supply voltage for more than 11 �k It ry� ❑ Haia daus locations. 600 volts nominal. Suite/bldg./apt no.: Project name: ['Service or feeder 600 amps or more. Cross street/directions to job site: FEE SCHEDULE Description 1 Qty. 1 Fee. 1 Twat 1 - New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map /parcel no.: Ea. add'l 500 sq. ft or ponion 33.40 1 Limited energy. residential f �aji��i,�� 1 p DESCRIPTION OF WORK < I 75.00 2 { I w1 � (with above sq. it.) �, , ♦ Q Limited mercy, multi-family 75.00 2 �� ..a, J res (with above sq. R.) C t�C ! J Services or feeders installation. alteration, and /or relocation 1 N1 ∎ 200 amps or Tess 80.30 g 2 ❑ PROPERTY OWNER I 0 TENANT 201 amps to 400 amps 106.85 "• 2 Name: 401 amps to 600 amps I 160.60 2 Address: 601 amps to 1,000 amps 240.60 2 Over 1,000 amps or volts 454.65 2 City/State/ZIP: Temporary services or feeders installation. alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner signature: Date: Branch circuits — neN, alteration, or extension, per panel I - A. Fee for branch circuits with ' ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 2 • (�• Business name: each branch circuit J • b.65 2 B. Fee for branch circuits Contact name: without service or feeder fee, ' 46.85 2 first branch circuit Address: Each add't branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular dweiline, service and /or feeder Phone: ( ) Fax:: ( ) 90.90 ! 2 E -mail: Reconnect only 66.85. I 2 Pump or irrigation circle 53.40 2 1 • CONTRACTOR Sign or outline lighting 53.40 2 Business name: VE , ,G't G .L,,,:n „ ! zn ,-- s C Signal circuits) er ur limited - l LT 1 V } l �i c SJ ! �lll energy panel, alteration, or Address: a )1 tL.I.5 NE vri j:.,.,_ i ld 1 LC ¢ �, . r e T /, / C extension. Descnlle: Page 2 2 � City /State /ZIP: eM„ ri Ij ( e t R 7 /28 Each additional inspection over Winnable in any of the above Phone: ( b3 L4 ��_ �^ j� ) Per inspection I 62.50 F I Fax: ( — 067 Investigation per hour (1 hr min) 62.50 CCB Lic.: I 33 s� e lectrical Lic.: _$Zc I Suprv. Lic.: rj 093s Industrial plant per hoar . 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: t OD, z—J • Print name: 1 4v (1n S I Date: Plan review (25400f permit fcc): State surcharge (12% of permit fcc): r2 03 Authorized signature: TOTAL PERMIT FEE: 1 / 2 , 2,g Print name: I Date: This permit application expires if a. permit is not obtained within IRO days after it has been accepted as complete. Number of inspections allowed per permit. t :\Bui !ding \PcrmitslELC•PermirApp dot 05f23106 44D- 4615T(1 /05/COM/WED l•d L910 - 9C - COG NOSdWI NIA3>i ebb ll 8O 9Z tiny CITY OF TIGARD BUILDING DIVISION PERMIT #: El_C2008 004f3f3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: $/25/2003 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 2 F 1 l INSPECTION WORKSHEET FOR DATE: 9I2/200f3 TIME: 7'01AM PAGE: SITE ADDRESS: 13335 SW 107tH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: KRAFT DESCRIPTION: Replacing panel and (3) branch circuits. OWNER: CARY RAY KRAFT AND, PHONE #: 503- G20- 73t38 CONTRACTOR: SIMPSON ELECTRICAL CON I � PHONE #: 1- 503.472.2530 I N Inspection Request Scheduled For: Date: 9/2/2008 Pour Time: Code # Inspection Description Contact # Message 120 Electrical rough -in ( 074940-01 \) 503 -550 -4021 \ Y Corrections /Comments /Instructions: �.� Q r 4 PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �. lv ()• LC Date:' 2' 0 Phone #: (503) 718 - 14 CITY OF TIGARD : :,,,, BUILDING DIVISION PERMIT #: ELC2008.004F38 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Qf512(J0U Phone: (503) 639 -4171 :6 i' Inspection Requests (24 Hrs.): (503) 639 -4175 .. ' 1 I INSPECTION WORKSHEET FOR DATE: 8/2912008 TIME: 7:OOAM PAGE: 7 SITE ADDRESS: 13335 SW 107TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: KRAFT DESCRIPTION: Replacing panel and (3) branch circuits. OWNER: {CRY RAY KRAFT AND PHONE #: 503- 620 -7388 CONTRACTOR: SIMPSON ELECTRICAL CONST. PHONE #: 1-503-472 -2530 Inspection Request Scheduled For: Date: 8129/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in / 074878 -01 503- &50.4027 Y ')\/ - ) \ s o\ 9 k Corrections /Comments / Instructions: i) s WCiN 4 4, r asp NQ N) ; a o V )1 ©N 6 Lim i w N ctkel.- >o No sp(1 1 Pe w • 1\®N.. C8 va. udOi 1. g'L z R coNDv4 . re (.4-_ 1 4,4 340.5" PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (Fr' • N V`o N Date: % 6 6 Phone #: (503) 718- ViLit• , + CITY OF TIGARD �' n BUILDING DIVISION ` I r PERMIT #: ELC200B -00408 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2520013 Phone: (503) 639 -4171 li .'1 ■ 1' Inspec tion Requests (24 Hrs.): (503) 639 -4175 .. INSPECTION WORKSHEET FOR DATE: 8/28/2008 TIME: 7:00AM PAGE: 5 SITE ADDRESS: 13335 SW 1071 AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: KRAFT DESCRIPTION: Replacirnq panel and (3) branch circuits. OWNER: CARY RAY KRAFT AND, PHONE #: 503 - 620 -7383 • CONTRACTOR: SIMPSDN ELECTRICAL CONST. PHONE #: 1-503 - 472.2630 Inspection Request Scheduled For: Date: 8/28/2008 Pour Time: . Code # Inspection Description Confirm # Contact # Message p,/ i�^S 1' Electrical service 074809 -01 503 -472 -2530 Y 0 Corrections /Comments/ Instructions: Mi 11 / W irq t) dt( il 44 1.6` A, illA l '....- ) i ■%/,.■ 1 L.4...;ti / ' 1 Ai id di ' I / ---/ -- PASS ❑ PARTIAL APPROVAL ❑ CANCEL KNO ACCESS r ) FAIL XCALL FOR INSPECTION i 1 ADDITIONAL FEES ASSESSED Inspector: 01' Date: %/ 2 .' / b Phone #: (503) 718 - VVO \\ LO LT L— , vo,/,-„,-, \ \ , II F� " � ?�)-� `, 1 1 \ ' . t7,_9 -4,,,:o'N,/ , i4, ■ A� \,/ 4 :4. 4 / , ■ IP vy p . ,1,1 \\ L - -- = - 1 r ., U WATK�N3 � C7 \ \ imi N / N / / 1 QT_CH / 1:r1 / ‹,„ ,r) ` „ , N GT G _ RANT U' - m �O� V �D_ERR" _ -DELL T d7 CI � /�('S i _ „\\„,,, __ - v v." . - PARK ST PARK '1L --)% --- \ . „ �/ ST X 7 � 5a � 1 I C OOK LN \ ,, . r \ // l�ELI / r _ L it ��� / FAIR VEN FAIRHA _ o � L� /`-7 r /� — VEN STl-- \ [ / // / .. _�FAIRHAVEN I //N'CN- ____ ____________ L T A --- - I T ,\ \ II VI ' MOUN �. 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